Chen D Y
Changzheng Hospital, Shanghai.
Zhonghua Wai Ke Za Zhi. 1993 Aug;31(8):460-4.
The compression of spinal cord-meningeal complex after the injury of cervical spine was simulated in seven intact fresh adult cadaver spines. In this study, a hole was drilled from the anterior part to the posterior in vertebral body C6 to accommodate a transducer which was pushed into the canal. The measurement of the pressure on the spinal cord-meningeal complex was made in different canal acclusion during the extension-flexion and rotation movements of the cervical spine. The results showed that the flexion and axial rotation of the cervical spine increased damage stress to the spinal cord under compression. The distribution of the stress on the spinal cord was discussed, and the strict immobilization and keeping the cervical spine in the natural-extension position were recommended for the injury of cervical spine.
在七具完整的新鲜成年尸体颈椎上模拟颈椎损伤后脊髓-脑膜复合体的受压情况。在本研究中,在C6椎体从前部向后部钻一个孔,以容纳一个被推进椎管的传感器。在颈椎屈伸和旋转运动过程中,对不同椎管闭塞情况下脊髓-脑膜复合体上的压力进行测量。结果表明,颈椎的屈曲和轴向旋转会增加受压情况下脊髓的损伤应力。讨论了脊髓上应力的分布情况,并建议对颈椎损伤进行严格固定并保持颈椎处于自然伸展位。